Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace A Tackie, MD

Individual provider Pediatrics Physician · NPI 1154904803

Grace A Tackie, MD is a Pediatrics Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 E 149th St Fl 4
Bronx, NY 10451-5504
Phone: (718) 579-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 330740 (NY)

Record details

NPI number1154904803
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address234 E 149th St Fl 4, Bronx, NY 10451-5504

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